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AOECT REGISTRATION FORM

PERSONAL AND CONTACT DETAILS
1. NAMES OF STUDENT

Title: (please circle one)  Mr. Mrs. Ms.
 Family name:   
 First name:        
 Nick name/English name: 
 2. ADDRESS
 Postal address:       
       
        
 

 
 

 Telephone:

  
 Fax:  
 E-mail:  
 3. DATE OF BIRTH
 Year:    Month:  Day:
 4. NATIONALITY

 Nationality:                 
 Country of birth:        
 

 

COURSE DETAILS

 

 1. Please indicate your Language ability: 

 1. 2. 3. 4. 5. 6. (1=Beginner, 6=Proficient)
  2. Type of tuition:

  Private Tuition

General Classroom

  Business

Other

 

 3. Number of hours per day: 

     3 hours 

  5 hours 

 4. Preferred course dates:
 a. Start: Year:    Month:  Day:  
 b. End:  Year:    Month:  Day:  

ACCOMMODATION AND TRANSPORT REQUIREMENTS

 1. Do you require us to find accommodation for you?

     If you do, Please circle your preferences below.

     a. Home stay

     b. Communal living

     c. Other(Please specify)

 

 2. Do you wish to purchase a motor car?

     a.  Yes 

  b. No 

 3. Do you wish to rent/hire a motor car?

     a.  Yes 

  b. No 
 

VISA APPLICATION

  Do you require a letter of acceptance from the Academy of Emglish in Cape Town to support your visa application?

 

  a.  Yes 

  b. No 

 

AOECT GENERAL INFORMATION RULES AND TERMS AND CONDITIONS

 

 

 Agree        Don't Agree  

 

                                                                                         

AOECT(Academy of English in Cape Town)
Tel : +27 21 674 0869 Fax: +27 21 674 0813 info@aoect.com
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